NPIMap

Organization Active NPI

Healthsource of Vermilion, Inc

  • Physical Therapist
  • Vermilion, OH
National Provider Identifier
1174856710
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHSOURCE OF VERMILION, INC
Practice address
4365 Liberty Ave
Suite 100
Vermilion, OH 44089-2133
Phone
(440) 967-4226
Fax
(440) 967-0296
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caron Kreicher
Title
Ceo
Phone
(440) 967-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4365 Liberty Ave
Suite 100
Vermilion, OH 44089-2133

Mailing address

4365 Liberty Ave
Suite 100
Vermilion, OH 44089-2133
Phone (440) 967-4226

National Provider Directory

National Provider Directory
Tax ID family
Health Solution Center of Vermilion Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4365 Liberty Ave
#100
Vermilion, OH 44089
Phone (440) 967-4226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1174856710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 LIBERTY AVE",
            "address_2": "SUITE 100",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892133",
            "telephone_number": "440-967-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 LIBERTY AVE",
            "address_2": "SUITE 100",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892133",
            "telephone_number": "440-967-4226",
            "fax_number": "440-967-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF VERMILION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "KREICHER",
        "authorized_official_first_name": "CARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-967-4226"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.